18526 83RD AVE W.PDF111111111111
7703
18526 83RD AVE W
t4 �M
roo
APPR E BY PLANNII'NIG
(32
CA"
NIL �-.,Jl
al ��.04144_
SETBACK&
FROWf
SIDE.10
IREAR.Ls
OTHER..�
9F,
?, OINJAINO.
0 !14v
k
L�J�1�14!ty lj�A2'
F
b fAp_,�A%w f
JEO
VIA.
J-1
RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
M01POA
Polt
MAILING ADDRESS 14 b
eps;xd
A vt.
CITY
ZIP
TELEPH NE
NAME
ADDRESS
x
CITY
ZIP
ONE
NAME
CBL#
-,:'PERMIT
EXPIRES
U A e- PERMIT
ZtE NUMBER(:g&:-
6,7
JOB
ADDRESS
SUITWAPT#
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
Street Use Pamil RWM
EXISTING - PROPOSED-
Inspection Required 13
Sidewalk Required . [3
REQUIRED DEDICATION- FT
U dmWound
13
METER SIZE
LINE SIZE
NO..OF FIXTURES
D
YES 0 NO 0
REMARKS
z
z
OWNEP,ICONTRACTOR RESPONSIBLE FPW-EROSION CONTROL/DRAINAGE
fni"11,417W
ENGIN 7MNG REVIEWED BY
DATE
ADDRESS
m
0
I
0
FIRE REVIEWED BY DATE
us
CITY ZIP
TELEPHONE
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REO'D
E3YEs 13NO
BOND
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
r-CUA4 oie f 'f:rTI-S y
KE BY
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED,, PROPOSED
HEI
ALLOWE PROPOSED
PROEW.TAX ACC01
0
CU,051
A o
EXP I
.1
ENEW RE .. SIDENTIA t L PLUMBING . �/MEC . H
3
ADDITION, COMMERCIAL COMPLIANCE OR
CHANGE OF USE
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKs_jPrf
FRONT R
PROPOSED SETBACKS (FT.)
FR ONT L/R SIDE REAR
z
PARKING
REO'D I PROVIDED
LANNING REVIEWED BY DATE
REMODEL ULTIFAMILY, Sir
0 E 3N
REPAIR GRADING? FENCE
X FT)
REMARKS
E] DEMOLISH TANK' 1 r�
RETAI' IN
o GARAGE. f FIRE SPRINKLER
i. tALL
CARPORT. ROCKERyj.' FIRE ALARM
(TYPE OF USE. BUSINESS OR ACTIVITY) bdpN:
Sets f?77
PE OF ION
CgCV2
I Y7_
OCCUPAN
IROUP
NUMBER
OF RI
STO ES
NUMBO �01` `
WELLING
fo ___
UNITS.
AREAS
CRITICAL IVI
NUMBER
0
.
SPECIAL INSPE ON JAREA
REQUIRED [] Y S
OCCUPANT
LOAD
DESCRIBE WORK -TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD
4
VALUATION
Description
FEE".
Description
FEE
Plan Check.
State Surcharge
HEAT SOURCE GLAZING % LOT SLOP .
Buildind Permit
Zity Surcharge
PLA CHECK N?V VESTED DATE
Plumbing
Mechanical
Tmis OERurr AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
tz BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTIONoN THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3
SEPARATE PERMISSION.
PERMIT Appucmom iso DAYS
Gra.din�
Engr. Review
CL PERMIT umrp i YEAR - PROVIDED WORK is STARTED WITHIN 180 DAYS,
SEE BACK OFOINK PERMIT FOR MORE INFORMATION -
Engr. Inspection
-APPLICAN17; ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
.
Fire Review
Plan Chk. Deposftl IC7_5
IN INTEREST, AGR EES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, JTS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
e
Rec ipt #
FROM THE ISSUANCE OF T141S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
01 NOR umrr IN ANY WAY THE CnYS ABILITY TOENFORCE ANY ORDINANCE PR ISION.'
Landscapeinsp...
Recording Fee
Total Amt. Due
Receipt # VI)II -7
I HEREBY ACKNOWLEDGETHAT I HAVE'READ THIS Ap ION; THAT THE INFORMATION
GIVEN 19 CORRECT, AND THAT I AM THE, OWNER, I THOR17.ED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH C17Y ANC s E. NG CONSTRUC-
TION; AND IN DOINGTHE WORK AUTHORIZED THE 0' ** I E EMPLOYED
IN VIOLATION OF TjiE LA ODE OF THE STATE OF WASHINGTON RELATING TO
S
WORKMEN'S COM ,P AN RCW 18.27.
P
7SIGNATURE io, NTI DATE SIGNED
�Z
ATTENTON
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
CALL
FOR INSPECTION
1Al2
ON
717 -0220
EXT 1
APPLICATIONAPPROVAL
Thl a application Is not a pe,(rn# until signed by the
Building Official or his/her Deputy: and Fees are paid, and
I . receipt Is acknovirledged In space provided.
F IALS SIGNATURE DATW"741
ASED BY
R DATE
1A A,, 4- �zl
A FINAL INSPECTION HAS BEEN MADE AND'APPROvAL OR, A -CERTIFI`�
S
CATE OF OCCUPANCY HAS -BEEN'GAANTED. UBCSECTION109 ORIGINAL -FILE -.YE�LLOW PECTOR
j PINK -OwNER, -.:GOLD -ASSESSOR.
F GREEN - AccouN-nNd
YN-AF-19—MAKINIGA"
CA FILE NO. 5 4
Critical Areas Checklist
Site Information (sd*ils/topography�hydrology/vegetation)
1. Site Address/Location: Avit
2. PropeAy Tax Account Number. 6617 -000,-004�
3. Approximate Site Size (acres or square feet): - I !j 600:5 r.
4. Is this site currently developed?. —_ZLyes; _ no.
If yes; how is site develop
5. Describe the general site topography. Check all that apply.
Flat less than 5-feet elevation change over entire site.
Rolling: slopes on sate generally less than 15% (a vertical rise of 10-feet over a
horizontal distance.of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise
of 10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: - ; Approx. Depth:
7. Site contains areas of seasonal standing water. —1,1,o Approx. Depth:
What season(s) of the year.?
8. Site is in the floodway floodplain of a waier course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? IJO Flows are seasonal? _ (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: 1".16,
P I
Rev M"
. I '- : , . . 1 -1 t I
9 9
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled out by anyperson
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whether any
potential Critical Areas are or may be
present on the subject property. 71e
information needed to complete the
Checklist should be easily available from
observations of the site or data available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
and submit it to the City. IMe City will
review the checklist, make a precursory site
visit, and make a determination of the
subsequent steps necessary to complete a
development permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent infonrnation (eg. site
plan, topography !nap, etc.) or studies in
conjunction with this Checklist to assist
staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest. that the answers provided are
factual, to the best of. my knowledge (fill out the appropriate column below).
Owner / Applicant:
- '03f'-Imij i - -
Name
Me,-?�(e D Aski,
Street Address
Applicant Representative:
_J1^ /Va 5 4;4,
Narne
Strad Address
—5Y17,13 -5k)'-Tr�A/4 flo/Z67 Is z I -gel 0,5r—
City, State, ZIP City, State. ZIP Phone
Signature /Date Signa re Date
,oe or 101,5
ond
0
0), drom
0,55 lots
30.
'Deg
R
1 30 X
MIS
ot
1v&9'l%9:14'X--l?q Ak A . 180-49, Z-7135, 30 30
TH
30
330, 6
338.67
A169-49�WZ-
/V 89 *49,14 ir
h1solot 0/' �Seovlew Forest T ENGINE T11
"(2c
Q// Of the SOUU2 one &/P aP the IVW4 Alo. 3 ',-mbroc,.s
/A T E W Al. Snohomth6 SW4 Of the Alc 4
0)' 5ect ion 0� 1, 1W.B. le ,r/N Reg L a
X, e je /sh at'ehlspla oyry�ovj
M/ th
g4 C Oun ty, Wosl? In 9 t oil ew p
ron on octuol and st
ectlon 16, 7-,2?Al, 4E, 07,
w1th ironplpe onolmonume,
deppoy&s
4�0477//2ed 0/7d 0,0P,-oved thi5-Z- doy of
's CEPT
-3 -
CITY OF EDmoNbs
iE PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
jog SUITE/APT #
ADDRESS
,Ze _
0
OWNER NAME /NAME OF BUSINESS
Cc
W
Z
0
LEGAL DE ION CHECKI SUBDIVISION NO.
LID NO.
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING — REQUIRED DEDICATION
PROPOSED
TESCP Approved 0
RW Permit Required 0
Street Use Permit Req*d 13
inspection Required 0
Sidewalk Required 0
CITY ZIP 7
P
TELEPHONE NUMBER
WO
y
0
cr
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES E3 NO E3
ADDRESS
/ 1�
REMARKS
Z
FE
W
W
Z
CITY ZIP
p?.
TELEPHONE NUMBER
NAME
(i- (Z tk-( WOLF -T-,V(
ADDRESS
_/ 4 .3 4/ -/ z
cr
2
L)
cc
ENGINEERING MEMO DATED REVIEWED BY
CITY zip
NE NUMBER
FIRE MEMO DATED REVIEWED BY
w
cc
Z
o
IW A-T-t t— E_ -377
STATE LICENSE NUMBER EXPIRATION DATE
7.3 E-5h/ - - Z
SIGN AREA
ALLOWED OPOSED
SEPA REVIEW
COMPLETE E x
A
A74
7 #
SH9
z
Legal Description of Property - include all easements
4 41f -)4 24b2if 7%,0-4-r
lei
W
_J
0
wi
VARIANU�U
!�Vl
W BY
IDAA*
SETBAC
/MET
si DE REAR`J.0*'7_
EIG I
LOT C6VERA(*
A
Z
Z
Property
Tax Account
Parcel No. 0,)oo oy 4/ 0o 7
77
RE kRKS
11Y516 AkWimrivA I L4,
17771
NEW 12!tF RESIDENTIAL PLUMBING
EIADDITION COMMERCIAL MECHANICAL
a
9REMODEL APT. BLDG. El SIGN
CHECKED BY
TYPE OF CONSTRUCTIO
I
EA-
CODE
I �1/
OCCUPAN
GR
7—�l
GRADING FENCE
REPAIR CYOS. E] I x _FT)
0
WOODSTOVE SWIMPOOL
DEMOLISH INSERT HOT TUB/SPA
GARAGE RETAINING WALL/
CARPORT ROCKERY RENEWAL
SPECIAL INSPECTOR
REQUIRED
13 YE :
A R
OCCUPANT
LOAD
R MARKS
PROGRESS INSPECTIONS PER.UBC 305
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
0
W
0
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS INUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
A- 14 :Y�
FINAL INSPECTION REOUIRED
VALUATION
FEE
Z
PLAN CHECK FEE
BUILDING
I
HE4SOURCE:
&Aj
GLAZING
17 %
PLUMBING
Plan Check NO. /,7
7,5 33
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
'Unj
I
<
0
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
I provision."
PLAN CHECK DEPOSIT
00
2 .00
TOTAL AMOUNT DUE
74/0
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or thg duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and in doing the work authoriz- AUTHORIZES T . his application is not a permit until
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
surance and RCW 18.27. INSPECTION acknowledged In space provided.
RE (OWNER
OFFICIAL'S SIGNATURE-:' DATE
4ZGENT) DATE SIGNED DEPARTMENT
CITY OF
EDMONDS . - - ----- -
Lx
------- - CALL FOR lw;wi� RELEASED BY: 6ATE
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-02 ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. VBC
CHAPTER 3. PINK — Owner GOLD — Assessor
RECEIVED
MAR 1 7 1995
PERIWITCOUNTER
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development
permit to the City.
Ile purpose of the Checklist is to enable
City staff to determine whether any
potential Critical Areas are or may be
present on the subject property. Ime
information needed to complete the
Checklist should be easily available from
observations of the site or data available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist� sign and date it,
and submit it to the City. The City -will
review the checklist, make a precursory site
visit, and make a determination of the
subsequent steps necessary to complete a
development permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent infomriation (eg. site
plan, topography piap, etc.) or studies in
conjunction With this Checklist to aniA
staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the'ap'propriate column below).
Owner / Applicant:-
Pkim.-i i
Name
ffie5ru..'..-93
itreet Address
Applicant Representative:
-J/;-%
1V1-!?J h3ja AU4- Ali -
Street Address
City, State, ZIP nt City, State, ZIP Phone
-- TZ:�t�
Signature ci I /bate "Sigena �re Date
CA FILE NO. C,,k 1;6% Z4
Critical Areas Checklist
Site Information (sdils/topography/hydrology/vegetation)
1. Site AddressALocatiow. ax-511-
2. Property Tax Account Number. -060,100�
3. Approximate Site Size (acres or square feet): 640 5�
4. Is this site currently developed? z�-yes; _ no.
If yes; how is site developed?___:�j/�&(--(�- �'4 �/ �X-vc�A
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than t5% (a vertical rise of 10-feet over a
horizontal diistance of 66-feet)-
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical fLse
of 10-feet.over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please descnbe):
6. Site contains areas of year-round standing water. AX� _;Approx. Depth:
7. Site contains areas of seasonal standing water. 1,Ja Approx. Depth:
What season(s) of the year.?
8. Site is in the floodway floodplain of a waier course.
9. Site contains a creek or an area whem water flows across the grounds surface? Flows are year-
round? __/-10 Flows are seasonal? _ (What time of year.?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped Qawnshrubs etc)
11. Obvious wetland is present on site.- /,/C7
--For City Staff Use 0 IF
'L-, Site is Zoned7.
mapped -soil -type(s)? ljew%,�
or CA. cup indicates wedand present on -site?':- 4/0.
Akeis�inventory.or CJL -indicates Critical Area.on -site?
Map
', - kewithii.&si '
�-S! ri... goated:4=thsubsidencd'iandslidehimudaiea?
on the Environmeidally Sensitive An=MalP.
I)ETERMINATION
WAIVER
-:X!1�*,%,r,-!t,,wM,! b
-'Plafi-
ner
9WIfe,
Rev WIM"
POP
STREET FILE 0
1,2 / / �F fo
-,D 2,6
cl,
/qZ 7 V
1980
NOTICE:
N'o ... warranty OT.aUUl-d�'Y-
The -information'shown on the attached
map(s) was compHed for use by the City of
Edmonds, Its Employees and Consultants.
Th,,e City of �Edm.qnds does not . wa rra nt the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'ation shown on
-map(s), Including, but not limited to,
th-e lociation of any sewer stub shown. Such
sewer stubs may or may* not exist and may
or may not exist at the location shown.
Neither the City of Edmo*nds nor its
e rn pl- o-y e e-s o -r o ff I c e,r s h. a- I I b e 1.`1 a. b-'Fe f o r t. h e
information given on this Map(s), nor for
ation provided based
any one represent
upon . said map(s).
CITY Of EDM , ONDS
Cf-VIC CENA—H — WATER -SEWER DEPARTMENT Call PRospect 6-1107 mh.e� work
is 'ready - or inspection. (No, Inspec-
Holm Saturday," Sundi3j or holida;ys.) -1797
N2
SIDE.� SEWIER PERMIT:
ADDRESS..� ........... �1§5Z5_77
.................................................................................. ......... ..............................
OWNER .....
r ................................................ CONTRACTOR ...... JRPY ... 9!�!j .....
.............................................
Perinission Is granted ..... Mar h'16
............ q .......................... 1 119fil., for ...................... days, toREPAIR,or CONNECT a side sewer
with City Sewers'In accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side. Sower -Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16,030 and Regulations governing side sewers when you get permit.
NOTE -No. 3�—TOP of side sewer must have at least 30 inches
coverage at -property line and 12 inches insideiproperty line; minimum grade of 2%.
No b ' ends In grade sharper than 'A will be permitted.
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
- failure due to Improper work which may develop within one year of completion.
I No. 5--It is unlawful to alter or do any other work than' Is provided for In the permit, or to do any work on the main sewer or Its ap-
purtena:nces except to Insert the pipe into the wy e.
APPLICATION
REET FILE for
The City of Edmonds ST SIDE SEWER PERMIT
-Znfz- ry�' I no NEW CONSTRUCTION [-] REPAIRS F1
OWNER---------- ........................... .................
ADDRESS .... ---- — -- ?'J?..0t'/ /'�
............ : ................ I ...........................
0
Ire*,
1'ks
LYNN PLANT
RMENT No . ..........................................
CONTRACTOR .......... ....... .............................. .......... PERMIT No.
LEGAL DESCRIPTION: LOT No . ............ I/ ............................. BLOCK No . ............................................
............ .
NAME OF ADDITION .... ................. . ........................
j
N,
ui
Approved:
DATE................................................ By ...... ::: ....... .....................................................